Doctors of
Chiropractic – often referred to as chiropractors or
chiropractic physicians – practice a drug-free, hands-on approach
to health care that includes patient examination, diagnosis
and treatment. Chiropractors have broad diagnostic skills
and are also trained to recommend therapeutic and
rehabilitative exercises, as well as to provide nutritional,
dietary and lifestyle counseling.
The most
common therapeutic procedure performed by doctors of
chiropractic is known as “spinal manipulation,” also
called “chiropractic adjustment.”
The purpose of manipulation is to restore joint
mobility by manually applying a controlled force into joints
that have become hypomobile – or restricted in their
movement – as a result of a tissue injury. Tissue injury
can be caused by a single traumatic event, such as improper
lifting of a heavy object, or through repetitive stresses,
such as sitting in an awkward position with poor spinal
posture for an extended period of time. In either case,
injured tissues undergo physical and chemical changes that
can cause inflammation, pain, and diminished function for
the sufferer. Manipulation, or adjustment of the affected
joint and tissues, restores mobility, thereby alleviating
pain and muscle tightness, and allowing tissues to heal.
Chiropractic
adjustment rarely causes discomfort. However, patients may
sometimes experience mild soreness or aching following
treatment (as with some forms of exercise) that usually
resolves within 12 to 48 hours.
In many
cases, such as lower back pain, chiropractic care may be the
primary method of treatment. When other medical conditions
exist, chiropractic care may complement or support medical
treatment by relieving the musculoskeletal aspects
associated with the condition.
Doctors
of chiropractic may assess patients through clinical
examination, laboratory testing, diagnostic imaging and
other diagnostic interventions to determine
when chiropractic treatment
is appropriate or when it is not appropriate.
Chiropractors will readily refer patients to the
appropriate health care provider when chiropractic care is
not suitable for the patient’s condition, or the condition
warrants co-management in conjunction with other members of
the health care team.